Jason Klevansky DMD

NPI 1053315952 - Dentist - 122300000X

NPI Details
NPI 1053315952
Gender Male
Enumeration Date 06/08/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
124 S HIGHLAND ST
LOCK HAVEN PA, 17745-2812, US
Phone (570) 748-8809
Fax
Business Location
124 S HIGHLAND ST
LOCK HAVEN PA, 17745-2812, US
Phone (570) 748-8809
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number DN012805
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According to our database, Dr. Jason Klevansky DMD NPI is 1053315952, taxonomy code is 122300000X and license number is DN012805, license state is located at Georgia. Jason Klevansky DMD physically located at 124 S Highland St, Lock Haven PA, 17745-2812. NPI Number Jason Klevansky DMD has the Individual type.

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1053315952 NPI number is provided on an as is basis without warranty of any kind. 1053315952 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Klevansky DMD are for informational purposes only.